Change in neck vein flow after chronic cerebro-spinal venous insufficiency (CCSVI) therapy in patients with multiple sclerosis

ISRCTN ISRCTN24087468
DOI https://doi.org/10.1186/ISRCTN24087468
Secondary identifying numbers N/A
Submission date
31/03/2011
Registration date
10/06/2011
Last edited
10/06/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nervous System Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Raj Attariwala
Scientific

1371 West Broadway
Vancouver
V6H 1G9
Canada

Phone +1 604 733 4007
Email rattariwala@aimmedicalimaging.com

Study information

Study designSingle centre observational longitudinal case control study
Primary study designObservational
Secondary study designNon randomised controlled trial
Study setting(s)Hospital
Study typeScreening
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titlePulsed short magnetic resonance imaging (MRI) to quantify neck vascular flow changes after jugular venous dilation (venoplasty) in patients with multiple sclerosis
Study objectivesVenous narrowing and thus reduction in jugular vein flow has recently been implicated as a potential contributing factor in Multiple Sclerosis. Jugular venoplasty has been hypothesised to improve jugular venous drainage, and thus improve the symptoms of patients suffering with multiple sclerosis. Many patients have had magnetic resonance imaging (MRI) examinations assessing neck vein and arterial blood flow prior to venoplasty. The aim of this observational study is to use MRI scans to compare the the change in the blood flow in the neck vessels of patients after jugular veinoplasty with their pre-procedural flow measurements
Ethics approval(s)Not provided at time of registration - IRB Services approval pending as of 31/03/2011
Health condition(s) or problem(s) studiedMultple sclerosis/ diagnostic imaging
InterventionObservations:
1. MRI flow quantification will be used to measure blood flow rate averaged over 2 minutes within the right and left internal jugular veins
2. At the same level within the upper neck, left and right arterial blood flow will be measured
3. A ratio of total jugular vein to arterial blood flow will be calculated, and compared to the same measurements and site obtained on pre-procedural MRI scans
4. The change in percentage blood flow will be statistically analysed using the paired t-test

Patients will be provided with a questionnaire form to assess for quality of life changes at the time of the study. This questionnaire includes the following questions:
1. Date and location of CCSVI treatment (venoplasty)
2. Age of diagnosed MS
3. Age of suspected onset, type of MS, current medication, iron chelation or naturopathic treatments, vitamin D supplements
4. Effects pre and post therapy:
4.1. Cold extremities (pre/post)
4.2. Brain fog (pre/post)
4.3. Head fullness (pre/post)
4.4. Fatiguability (hrs of productivity) (pre/post)
4.5. Exercise tolerance (pre/post)
4.6. Colorperception/vision change (post)
4.7. Taste/smell change (post)
4.8. Hearing change (post)
4.9. Temperature tolerance (pre/post)
4.10. Bowel/bladder incontinence change (pre/post)
Intervention typeOther
Primary outcome measurePaired t-test statistical analysis will be used to assess for significance
Secondary outcome measuresQuestionnaire answers will be tabulated to assess for change
Overall study start date01/04/2011
Completion date30/06/2011

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participantsPilot study of 25-50 participants
Key inclusion criteria1. Above 19 years of age
2. Has been diagnosed with multiple sclerosis
3. Has an MRI of the neck veins with flow quantification prior to having jugular venoplasty (CCSVI treatment) within the past 1 year
Key exclusion criteria1. Patients who have a contraindication to MRI scan
2. Patients with metal implants such as:
2.1. In the eye
2.2. Non-MRI compatible stents
2.3. Staples
Date of first enrolment01/04/2011
Date of final enrolment30/06/2011

Locations

Countries of recruitment

  • Canada

Study participating centre

1371 West Broadway
Vancouver
V6H 1G9
Canada

Sponsor information

AIM Medical Imaging (Canada)
Hospital/treatment centre

1371 West Broadway
Vancouver
V6H 1G9
Canada

Phone +1 604 733 4007
Email appointments@aimmedicalimaging.com
Website http://www.aimmedicalimaging.com

Funders

Funder type

Hospital/treatment centre

AIM Medical Imaging (Canada)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan